| NPI | 1316065444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN SCOTT WHEET President 574-259-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048975A) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |